MRS. LETICIA MEDRANO FNP-C
NPI 1023580073
Nurse Practitioner - Family in Roswell, NM
About Mrs. Leticia Medrano Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LETICIA MEDRANO FNP-C (NPI 1023580073) is an individual family provider in Roswell, New Mexico, licensed in New Mexico (54775) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Eastern New Mexico Medical Center, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Leticia Medrano Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Leticia Medrano reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Roswell, NM 88203
- Reassigned Medicare billing, New Mexico enrollment
- 7 clinicians in this Medicare group
Albuquerque, NM 87109
- Reassigned Medicare billing, New Mexico enrollment
- 554 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, New Mexico enrollment
- 193 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Eastern New Mexico Medical Center
Acute Care Hospitals · Roswell, NMLovelace Regional Hospital - Roswell
Acute Care Hospitals · Roswell, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 88201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Leticia Medrano's NPI number?
The NPI number for Leticia Medrano is 1023580073. It was assigned to this individual provider in the NPPES registry on December 31, 2018.
Where is Leticia Medrano located?
Leticia Medrano practices at 115 E 23rd St, Roswell, NM 88201. The listed phone number is (575) 625-1292.
What is Leticia Medrano's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Leticia Medrano enrolled in Medicare?
Yes. Leticia Medrano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Leticia Medrano's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leticia Medrano reassigns Medicare benefits to 3 organizations: State Of New Mexico (Roswell, NM), Southwest Medical Associates, LLC (Albuquerque, NM) and Signify Health, LLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Leticia Medrano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Leticia Medrano affiliated with any hospitals?
According to CMS data, Leticia Medrano is affiliated with Eastern New Mexico Medical Center and Lovelace Regional Hospital - Roswell.
When was this NPI record last updated?
The NPPES record for Leticia Medrano was last updated on January 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Leticia Medrano, FNP-C · NPI 1023580073
Family physician in Roswell, New Mexico. Individual provider, active in the CMS NPPES registry since December 31, 2018.
## Identity
- **NPI:** 1023580073 (Entity type: Individual)
- **Enumerated:** December 31, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 54775 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 115 E 23RD ST, Roswell, NM 88201-6471
- **Phone:** (575) 625-1292 · **Fax:** (575) 624-4836
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): State Of New Mexico (NPI 1922094770, Roswell, NM); Southwest Medical Associates, LLC (NPI 1164491072, Albuquerque, NM); Signify Health, LLC (NPI 1689158487, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** January 29, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1023580073) · Data from the CMS NPPES public registry.